Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1174516967
Practice Locations (1)
INTEGRIS BASS BAPTIST HEALTH CENTER
158 E SUNSET DR, SUITE B INTEGRIS MEDFORD FAMILY CLINIC
MEDFORD, OK 737592401
5803953321
Source: CMS National Downloadable File, September 2026.